Coagulation: nanjengokwesimo kwaye ukuphambuka

Coagulation igazi okanye hemostasiogram, ekubeni uhlobo uvavanyo lwegazi lwenziwa ukufunda ekunqandeni yayo. Olu hlahlelo wabelwa kwimeko imisebenzi, zinxulunyaniswa ukopha, kwakunye ekuchongeni mgaqweni kwamahlwili njengoko sinciphile kwaye nokwanda, oko kunokubangela izifo ezahlukeneyo, ezifana thromboses, isifo sentliziyo okanye kwamalungu omzimba.

Coagulation, nto leyo ngokufuthi yombhalo thaca kule theyibhile ezizodwa ezichaza inkqubo yokujikeleza kunye nocazululo layo hemostasis, likuvumela ukuba ukujonga izitenxo kwi plasma.

Ngenxa yoko, hemostasiogram - siphande ekhulelwe, phambi imisebenzi ezahlukeneyo kwixesha postoperative, kunye imithambo varicose, izifo samathambo, kunye zezifo zesibindi.

Ukukwazi ukugcina unomphelo ifomu ulwelo ngaxeshanye lokubumba okanye ukuphelisa egazi, ukuba kuyimfuneko, ngaphandle kokuba inkqubo hemostatic emzimbeni. Naziphi na ukuphazamiseka ukopha kunokukhokelela kwintlekele.

Hemostasis na izinto ezithile, ezo zigqitywa izifundo elebhu. Ngoko hemostasis Prayimari sinokuba kumiselwa: i zegazi ukubala, ubude ukopha, udibaniso zegazi kunye adhesion, indlela ihlwili legazi kwezinye indicators. Xa hemostasis secondary amisele ixesha coagulation igazi, PTI, APTT, lwefibrinogen ubungakanani, njalo njalo.

Ngoko, ngexesha lokukhulelwa coagulation (komzimba norm) zibonisa ukwanda igazi ekunqandeni, hayi kuba exhalabisayo ekufuneka apha.

Makhe sihlolisise ngokweenkcukacha oko kuthathwa eziqhelekileyo iparameters kwesi sifundo.

1. Ixesha ukopha. Ngokwesiqhelo, le ukopha eyeka kule ngcaciso imfutshane lwesithathu emva kokuba okuhlatywa. Ukwandisa eli thuba kunokubonisa ivithamin izivuka, lisibekele zegazi count.

2. zegazi udibaniso kunye adhesion. Coagulation (norm) - Adhesion - ukuya kutsho kuma-50% kunye udibaniso - 20%. Ukwanda kwezi zalathisi Zisenokubhekisela kuphuhliso yegazi, thrombosis, isifo seswekile, okanye isifo sentliziyo.

3. I-esokuqala ye ihlwili legazi. Ngesiqhelo rates emuva asusela ezingamashumi amane anesibhozo ukuya amathandathu anesine ekhulwini.

4. Ubude coagulation kwegazi. Coagulation (norm) igazi lwemithambo - ukusuka imizuzu emihlanu ukuya kwelishumi igazi capillary - ukusuka kwimizuzwana engamashumi amathathu ukuya imizuzu emihlanu.

Ukwandisa ixesha iiplanga data asenokubonisa ubukho kwi anticoagulant egazini okanye uphuhliso isifo sesibindi okanye kubazali bakhe. zokunciphisa ixesha ibonakala ukopha kakhulu.

5. PB (naiboleee yokufunda ebaluleke coagulogram). Ngaba kumiselwa ngokusekelwe kolu hlahlelo, izifo emathunjini kunye zesibindi. Coagulation (normal) PTI - ezintathu ukuya kwenye, anamanci asithoba anesixhenxe ekhulwini, lo gama ixesha prothrombin - ukususela elinanye ukuya kwimizuzu elishumi elinesihlanu. Ukwanda kwezi zalathisi Zisenokubhekisela kuphuhliso thrombosis, kodwa kwezinye iimeko ibonisa ulwamkelo zokucwangcisa.

6. lwefibrinogen. Ngokwesiqhelo, le nani yahluka ukusuka grams ezimbini ukuya kwezine / ilitha. utshintsho lakhe libonisa inyumoniya, nangokurhala, stroke, ukutsha, hepatitis, ukuqina kwesibindi, intliziyo njalo njalo.

7. APTT. Ngokwesiqhelo, le nani kulingana kwimizuzwana engamashumi amathathu okanye amane. Kufuneka kuqatshelwe ukuba ukuncipha sisalathisi igazi ekunqandeni ukuya kumashumi amane ekhulwini kwinqanaba APTT ziya kwahluka. Noko ke, ukwehluka le index asenokubonisa ukuba uphuhliso isifo sesibindi, kubazali kunye nezinye izifo.

Ngenxa yoko, inkqubo coagulation i reactions ezintathu amaqhina oqhagamshelwano: igazi ekunqandeni yangaphakathi nangaphandle, kwakunye uguqulelo lwefibrinogen ukuya fibrin.